Active NPI
Melinda Fuchs, LCSW
- Clinical Social Worker
- Coldwater, MI
National Provider Identifier
1982609632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090889
- Practice address
- 28 W Chicago St
Suite 2C
Coldwater, MI 49036-1678 - Phone
- (517) 279-8478
- Fax
- (517) 238-4395
- NPI assigned
- Jun 18, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090889 | MI | Primary |
Addresses
Primary practice location
28 W Chicago St
Suite 2C
Coldwater, MI 49036-1678
Mailing address
645 Block Rd
Coldwater, MI 49036-9061
Phone (517) 617-7431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0898805 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 7004789 | Other | PA | AETNA |
Other names 1
- Mindy Fuchs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090889 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1982609632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 BLOCK RD",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490369061",
"telephone_number": "517-617-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 W CHICAGO ST",
"address_2": "SUITE 2C",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490361678",
"telephone_number": "517-279-8478",
"fax_number": "517-238-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCHS",
"first_name": "MELINDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-18",
"last_updated": "2016-08-20",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "0898805",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7004789",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "FUCHS",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.